A nurse is teaching a client who has a prescription for ferrous gluconate. Which of the following statements by the client indicates an understanding of the teaching?
"I should take this medication with 8 ounces of milk."
"I should stay upright for at least 15 minutes after taking this medication."
"I should take an antacid with this medication to prevent stomach upset."
"I should notify my provider if my stools turn black."
The Correct Answer is B
A. Taking ferrous gluconate with milk is not advised because calcium in milk can interfere with the absorption of iron. The client should avoid taking iron supplements with calcium-containing products.
B. Staying upright for at least 15 minutes after taking ferrous gluconate can help prevent esophageal irritation or discomfort. This instruction is crucial for iron supplements, as lying down immediately after ingestion can cause reflux or esophagitis.
C. Taking an antacid with ferrous gluconate can reduce its absorption. The client should be advised to avoid taking antacids, calcium supplements, or certain medications close to the time of iron intake.
D. Black stools are a common and harmless side effect of iron supplementation. The client should be informed that this is expected and not a reason to notify the provider unless there are additional concerning symptoms, such as abdominal pain or constipation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D, A, B, C
Explanation
Choice A rationale: This is the second step and equalizes the pressure in the vial and makes it easier to draw up the insulin.
Choice B rationale: This is the third step. Regular insulin is clear and should be drawn up first to avoid mixing with NPH insulin, which is cloudy. By drawing up the regular insulin first, the nurse avoids transferring any NPH insulin into the regular insulin vial, which could alter its potency and effectiveness.
Choice C rationale: This is the last step. The total amount of insulin in the syringe should be 16 units (4 units of regular insulin plus 12 units of NPH insulin).
Choice D rationale: This is the first step as it prevents contamination of the NPH insulin with regular insulin.
Correct Answer is A
Explanation
Choice A rationale: Amphotericin B lipid complex can bind to other solutions, leading to precipitation. Priming the tubing with 0.9% sodium chloride ensures that the medication is not wasted due to precipitation in the tubing.
Choice B rationale: The infusion rate and duration depend on the specific guidelines and conditions but are not directly related to priming the tubing.
Choice C rationale: While the administration method might vary, priming the tubing with a compatible solution is more critical for the initial setup.
Choice D rationale: Color change might not be an accurate indicator of medication integrity or effectiveness in this case.
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